Who is becoming personality disordered? A register-based follow-up study of 508 inpatient adolescents

Kantojärvi, Liisa; Hakko, Helinä; Riipinen, Pirkko; Riala, Kaisa

doi:10.1016/j.eurpsy.2015.10.002

Cited by 7 publications

(6 citation statements)

References 57 publications

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“…The DSM-IV-TR diagnostic criteria [7] were used in this study because the DSM-5 was not in use in Finland at the time the study was conducted. The validation process of PD cases of Study-70 project has been described in more detail earlier [19].…”

Section: Personality Disordersmentioning

confidence: 99%

Borderline personality disorder associates with violent criminality in women: A population based follow-up study of adolescent psychiatric inpatients in Northern Finland

Arola

Antila

Riipinen

et al. 2016

Forensic Science International

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Various psychiatric problems in adolescence and early adulthood have been shown to associate with criminal behaviour. In this study the association of personality disorders (PDs) with criminal behaviour was examined in adolescents treated in psychiatric hospitals. The study sample consisted of 508 adolescents (age 13-17) admitted to acute psychiatric impatient care between April 2001 and March 2006. Crime data was obtained from the Finnish Legal Register Centre on September 2013. The Schedule for Affective Disorder and Schizophrenia for School-Age Children Present and Lifetime (K-SADS-PL) was used to assess psychiatric diagnoses in adolescence. The information on PDs in early adulthood was based on follow-up information on psychiatric treatments in either out- or inpatient settings until the end of 2012, and was extracted from the National Care Register for Health Care provided by the Finnish National Institute for Health and Welfare. A total of 22 (39%) of the 57 subjects with PD had committed a crime. In women, the likelihood for violent criminality was significantly increased in those with Borderline PD (OR 6.09, CI 1.24-29.84, p=0.009) and was also associated with conduct disorder (OR 4.26, CI 1.38-13.19, p=0.012), child welfare placement (OR 11.82, CI 3.61-38.76, p<0.001) and parent's substance use disorder (OR 7.74, CI 2.30-26.10, p=0.001). In men, no association was observed between PD and any kind of criminal behaviour. Significant predictors for violent criminality in males were conduct disorder (OR 4.05, CI 1.75-9.38, p=0.001), substance use disorder (OR 2.51, CI 1.22-5.17, p=0.012) and special services at school (OR 2.58, CI 1.16-5.76, p=0.021). Females with Borderline PD showed an increased risk for violent offending. This suggests Borderline PD as a potential explanatory factor for violent assaults by females and highlights the importance of recognizing the risk for violence in young women with a Borderline PD.

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Section: Personality Disordersmentioning

confidence: 99%

Borderline personality disorder associates with violent criminality in women: A population based follow-up study of adolescent psychiatric inpatients in Northern Finland

Arola

Antila

Riipinen

et al. 2016

Forensic Science International

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“…The PD validation process is described in an earlier publication [27]. ICD-diagnoses [25] were converted to research diagnoses based on DSM-IV-TR, because the DSM-5 was not in use in Finland at the time the study was conducted.…”

Section: Personality Disordersmentioning

confidence: 99%

Bullying involvement in relation to personality disorders: a prospective follow-up of 508 inpatient adolescents

Antila

Arola

Hakko

et al. 2017

Eur Child Adolesc Psychiatry

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“…Significant others are inevitably an additional source of emotional support as family members or friends cannot usually fulfill all their emotional needs. These special people usually include seniors at university, professors, or even health care providers [ 67 , 68 ], who are especially sought out when individuals with high-level BPDS experience more severe depression or suicidality. Of all the personality disorders, it is evident that individuals with borderline personality disorder predominantly seek help for their major depression [ 17 , 69 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

Different Effects of Perceived Social Support on the Relationship between Perceived Stress and Depression among University Students with Borderline Personality Disorder Symptoms: A Multigroup Mediation Analysis

Ingkachotivanich

Wongpakaran

et al. 2022

Healthcare

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Background: While perceived social support can mediate the relationship between perceived stress and depression, little is known about the differences between individuals with high and low borderline personality disorder symptoms (BPDS). This study aimed to investigate the associations among perceived stress, perceived social support, and depression, and compare low and high levels of BPDS. Methods. This cross-sectional analysis was a secondary analysis of data from the SI-Bord study. University students across Thailand completed a screening instrument for borderline personality disorder, the Perceived Stress Scale (PSS), the Revised Thai Multi-dimensional Scales of Perceived Social Support (MSPSS), and the Patient-Health Questionnaire (PHQ)-9. Mediation analysis using PROCESS was applied to test the direct and indirect effects of perceived stress on depression. Multigroup mediational analysis was adopted to compare low and high levels of BPDS. Results. The mean age of the 330 participants was 20.27 (SD, 1.4) and 80% were female. Significant correlations were observed between the PSS, MSPSS, and PHQ scores, with greater magnitude among the high-level BPDS group (p < 0.001). A significant direct effect on perceived stress and a significant indirect effect on depression through perceived social support were noted. Of all the sources of social support, only the significant others variable significantly differed between the two groups (p < 0.05). Conclusion. Perception of social support had a significant mediating role in perceived stress and depression. The magnitude of associations was remarkably high for individuals with high BPDS compared to those with low BPDS. Unlike those with low BPDS, all sources of social support were significant mediators between the two groups.

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Who is becoming personality disordered? A register-based follow-up study of 508 inpatient adolescents

Abstract: The results indicate that risk of PD developing later in life is increased among girls with anxiety disorders. A child welfare placement associated with PD in males later in life. These associations in adolescents should be considered in clinical work.

Cited by 7 publications

References 57 publications

Borderline personality disorder associates with violent criminality in women: A population based follow-up study of adolescent psychiatric inpatients in Northern Finland

Borderline personality disorder associates with violent criminality in women: A population based follow-up study of adolescent psychiatric inpatients in Northern Finland

Bullying involvement in relation to personality disorders: a prospective follow-up of 508 inpatient adolescents

Different Effects of Perceived Social Support on the Relationship between Perceived Stress and Depression among University Students with Borderline Personality Disorder Symptoms: A Multigroup Mediation Analysis

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